Refund of Individual Payment for Chengdu Basic Medical Insurance

Individual medical insurance can be refunded.

I. Refund processing of overpaid employee health insurance premiums

(a) The refund of policy factors for participating in employee health insurance in an individual capacity (hereinafter referred to as individual insured persons) should be handled objectively and impartially, strictly on the basis of policy documents.

1, according to the district and county in the municipal level before the implementation of the spirit of the above documents and pontoon payment when the contribution standard, the district and county health insurance agencies to approve the amount of refund, and put forward a refund application, by the district and county human resources and social security bureau, bureau of finance audit, reported to the municipal social security bureau for review, by the municipal human resources and social security bureau and the municipal bureau of finance approval, before refunding the fees.

2. For individual insured persons who have made normal contributions on an annual basis and have been audited to be eligible to enjoy the preferential policies of medical insurance, but have been transferred to the unit of insured employees or have died, the amount of the refund will be calculated according to the amount of their enjoyment of the preferential policies of medical insurance. The specific refund standard shall be implemented in accordance with the relevant provisions of item 1 of this item.

3. If an individual insured person has been insured and paid contributions by the unemployment insurance agency during the period of receiving unemployment insurance benefits, and at the same time participates in the employees' medical insurance as an individual to form a duplication of contributions, he/she can apply for a refund in the following year of the fees paid by the individual insured person during the duplication period (the funds that have been transferred to the individual account during the duplication period should be deducted).

(2) The refund of fees in the event of the death of an individual insured person shall be handled in a practical manner by following the correspondence between the payment of fees and the period of entitlement.

1, on a one-time payment of the second class standard individual participants in accordance with the provisions of the corresponding contributions to enjoy the treatment of health insurance (including the individual account) after death, still in accordance with the human society document No. 58 processing, that is, according to the month of death of the individual account into the standard, and a one-time single contribution to the remaining years (calculated to the month), a one-time refund of the remaining years of the individual account should be allocated to the funds included in the integrated fund and the The part of the large medical insurance premium will not be refunded.

If an individual participant dies after making annual contributions according to the second-tier standard and enjoying the medical insurance treatment corresponding to that contribution (including the allocation of the individual account) according to the regulations, a one-time refund will be made to the individual account for the remaining months of the current year, and the portion included in the integrated fund and the large medical insurance premiums will not be refunded.

2. If an individual participant dies before January 31 of the following year after completing the one-time single payment of health insurance premiums from January 1 of the following year, his/her legal heirs or designated beneficiaries may apply for a full refund of the premiums corresponding to the period after January 1 of the following year. If an individual participant who pays annual premiums dies before January 31 of the current year, his/her annual health insurance premiums may be applied for a full refund by his/her legal heirs or designated beneficiaries.

(3) Duplicate contributions for individual and unit participation, as well as refunds of excess contributions after retirement, should be handled in such a way as to ensure that the years of contributions are continued without duplication or omission.

1, individual participants in the annual payment of health insurance premiums, the mid-year shift to the formation of duplicate contributions with the city's unit participation in the formation of the city, his or her own application in the following year for a refund during the duplication of individual participation in the payment (should be deducted from its duplication of the period has been transferred to the personal account of the funds).

2. Individuals who continue to make contributions even after they have completed the retirement procedures, and who have been audited to meet the medical insurance contribution period, may apply for a refund of the medical insurance premiums (excluding the large medical insurance premiums) that they have paid in excess of the required number of years of medical insurance contributions after retirement. Their individual accounts shall be liquidated according to the criteria for crediting and the number of months of overpayment after retirement and fulfillment of the number of years of medical insurance contributions, and the over-credited amount shall be credited in the refund.

3, the insured workers due to the insured unit for retirement procedures lag, it should be retired to meet the health insurance contribution period, should be retired after the month of the excess payment of health insurance premiums deducted in accordance with the provisions of the amount of the individual account of the employees' health insurance account balance returned to the unit, the individual account credited amount according to the provisions of the standard for the retirement of the settlement (on the amount of the excess should be deducted), the formation of the difference in the medical treatment during the period of time the unit of reference to the medical insurance provisions responsible for payment. The difference in medical treatment formed during the period shall be paid by the insured unit with reference to the relevant provisions of medical insurance. For the human resources and social security departments to review and approve the lag caused by the medical treatment difference formed during the period of time, in accordance with the provisions of the medical insurance fund to pay.

(D) Other refunds

Before the municipal integration of health insurance, the county has issued a policy clearly should be refunded to the insured units or individuals overpaid health insurance premiums, in accordance with the principle of locking the project, locking the standard, locking the principle of capitation. By the district and county health insurance agencies to apply for a refund, by the district and county human resources and social security bureau, finance bureau audit, reported to the Municipal Social Insurance Bureau review, approved by the Municipal Human Resources and Social Security Bureau and the Municipal Bureau of Finance, before the refund of fees.

The treatment of overpayment of residents' health insurance premiums:

(1) After paying the full amount of residents' health insurance premiums to the insured persons, they shall be refunded the amount of overpayment of financial subsidies upon examination and approval of eligibility for financial subsidies.

Particularly, for the period of March 1st to June 30th, 2013 when the participants have paid the full amount of the residents' health insurance premiums, the amount of RMB280 per person shall be refunded.

(2) For participants (including college students) who have paid the required resident health insurance premiums and then received approval from the relevant authorities to enjoy the eligibility for financial assistance for participation in the insurance scheme, the amount of financial assistance to which they are entitled shall be refunded.

(3) If a participant dies before January 1 of the following year after completing the payment of the following year's contributions, his legal heirs or designated beneficiaries may apply for a refund of the individual health insurance premiums paid.

Third, the insured unit or the insured person in the following cases of duplicate contributions will not be refunded:

(a) the insured person at the same time in two or more participating units to pay health insurance premiums formed by the duplicate contributions, the unit of health insurance premiums will not be refunded, and their individual accounts are merged.

(2) If the insured person has participated in both the employee medical insurance and the resident medical insurance in the same period of time, his duplicate contributions shall not be refunded.

(3) For those who have completed the process of stopping or transferring their medical insurance coverage by their units before the announcement of the city's average wage of on-the-job workers in urban non-private units in the previous year (hereinafter referred to as the Social Wage), their employee medical insurance contributions and personal accounts will no longer be liquidated and refunded after the announcement of the Social Wage.

(d) Individual participants or urban and rural residents' health insurance participants who voluntarily choose to pay contributions according to the first or second class shall not ask for a refund of the medical insurance premiums they have paid in the name of withdrawing from the insurance or transferring to another class.

(e) If an individual insured person pays annual contributions according to the standard of the first class and dies while the insurance is in force, the portion of the insurance premiums included in the integrated fund and the large medical insurance premiums shall not be refunded.

(vi) Before the municipal integration, the duplicate contributions of the insured persons occurring between different integrated areas within the city shall not be refunded, and their individual accounts shall be merged in accordance with the regulations.

Four, to meet the conditions of the refund of the insured units or individuals, in accordance with the following procedures:

(a) by the unit or the person to the medical insurance agency in the current place of application for a refund, fill out the "insured units (individuals) medical insurance refund application form" (Annex 1), explain the reasons for applying for refunds and to provide the relevant supporting materials.

(2) The medical insurance organization in the place of acceptance shall review the application for refund and send the medical insurance organization in the place where the excess contribution is made to review the refund and the amount. If the conditions are met, the medical insurance agency in the place of acceptance shall report to the local Human Resources and Social Security Bureau and the Finance Bureau for approval on a monthly basis (except for the cases in Article 1(1)(1) and (2), and Article 1(4) of this Circular), and inform the applicant unit or individual of the reasons for not meeting the conditions.

(3) The refund approved by the local human resources and social security bureau and the finance bureau shall be paid to the applicant unit or individual through the social security card with financial function or designated bank account within the same month in a timely manner. Among them, the refund of the current year's overpayment of fees by the levy account to withdraw, offsetting the current year's income; the refund of the previous year's overpayment of fees by the financial account to withdraw, listed as other expenditures. The first thing you need to do is to get a good deal on a new product or service, and then you can get a good deal on a new one.